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Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: 550.00 <br /> Survey of Existing Parcel: S50.00Ilot <br /> and/or Pre-Application Form Subdivision }'/5urvcv: S200.O0+550.00/lot <br /> Owner: Voyager Village POA Buyer: b <br /> n <br /> Address:28851 Kilkare Rd Address: i. <br /> Danbury WI 54830 0 <br /> Phone: Phone: 'EP <br /> Origlni i"Payee!Information ation C <br /> Parcel ID#: 07-038-2-41-14-31-5 15-105-017000&018000 :Sectlon 31 Towttablp 1N Rabge 14W _ c�1'1 <br /> Original Description(or attach copy): Crystal Valley Add to Voyager Village Lot 7 & 8 0 <br /> flt <br /> l -s <br /> b Current Zoning: PUD: Flobdptatn wit N Wetlands"1i'1N: N Lake/River Class <br /> Fr <br /> Name of Water Body: N Shoreland Agreement/SIPS YIN; <br /> Farmland Preservation YIN:N Managed Forestry Law Y/N:.N r� <br /> New Parcel Information <br /> Proposed New Legal Description and Parcel Size: CSM to combine 2 lots G <br /> Acres: <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: C <br /> I <br /> Proposed access to public waters to be provided YIN: '" <br /> If yes,describe access: <br /> Signature of Owner:.S; ,p,,,,,, jy+ w,, 0P UnYa er U .Y1;4 ft,, Date: ( --01-2,1 <br /> Signature of Owner: . Date: o <br /> S <br /> 9z <br /> > Does parcel meet Zoning Requirements? Yes No A <br /> 7 <br /> > Does parcel require a Survey? Yes No <br /> Q° > Permit application fees submitted? 0 Amount S Receipt J J <br /> W w , - <br /> 0 Reconciles with Real Property Lister Yes No Date: `%3 ,D '. `t1i .t11 <br /> op <br /> a If not,explain: �s <br /> a 41 <br /> Application: Approved / Denied Reason for Denial: <br /> Land Use Date: <br />